James C Martin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00027674 Issued in WA

Practice address

3236 78TH Ave SE
Suite 200
Mercer Island, WA 98040-3500

Phone

(206) 275-5060

Fax

(206) 275-5061

NPI assigned

Sep 30, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jmartin1042428@wm.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minor & James Medical PLLC

  • Clinic/Center
  • Seattle, WA
  • NPI 1548250012
  NPD (past) Authorized official
• Proliance Surgeons Inc PS

  • Ambulatory Surgical Clinic/Center
  • Seattle, WA
  • NPI 1891776233
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1881681369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3489",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981143489",
            "telephone_number": "206-386-9500",
            "fax_number": "206-386-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 78TH AVE SE",
            "address_2": "SUITE 200",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403500",
            "telephone_number": "206-275-5060",
            "fax_number": "206-275-5061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3236 78th Ave SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mercer Island",
            "state": "WA",
            "postal_code": "980403500",
            "country_code": "US",
            "telephone_number": "206-275-5060",
            "fax_number": "206-275-5061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00027674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "152210",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "5508MA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5891740001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "110222293",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1064112",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmartin1042428@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3236 78th Ave SE",
            "address_2": "Suite 200",
            "city": "Mercer Island",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980403500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shelley M Malcolm, MS, CN
• Jill A Manasco, OT
• Theodore Dungan Mandelkorn, MD
• Nancy Mar
• Mark Germack DDS PLLC
• Bryan Gene Maruhashi, D.D.S.
• Corrado Rain Masciocchi, O.D.
• Jessica Le Massey, PHCY-TEC
• Matthew T Streelman DDS MD PLLC
• Kathleen L Matthews

• Internal Medicine Physician in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.